踝关节骨折的LaugeHansen分型.pptxVIP

踝关节骨折的LaugeHansen分型第1页/共15页 踝关节骨折的Lauge-Hansen分型第2页/共15页 旋前 旋后第3页/共15页 内收 外展 外旋Adduction Abduction Exteral-rotation第4页/共15页 Supination-Adduction (SA) 旋后-内收*Transverse avulsion-type fracture of the  fibula below the level of the joint or tear of the lateral collateral ligaments?.?腓骨下端横行撕脱骨折或外侧副韧带撕裂。*Vertical fracture of the medial malleolus.内踝垂直骨折线。Campbells operative orthopaedics 11th第5页/共15页 Supination-Eversion (External -Rotation) (SER)旋后-外翻（外旋）*Disruption of the anterior tibiofibular ligament 下胫腓前韧带断裂?*Spiral oblique fracture of the distal fibula?? 腓骨远端螺旋型骨折*Disruption of the posterior tibiofibular ligament or fracture of the posterior malleolus?? 下胫腓后韧带断裂或后踝骨折*Fracture of the medial malleolus or rupture of the deltoid ligament 内踝骨折或三角韧带撕裂第6页/共15页 Pronation-Abduction (PA) 旋前-外展*Transverse fracture of the medial malleolus or rupture of the deltoid ligament?? 内踝横行骨折或三角韧带撕裂*Rupture of the syndesmotic ligaments or avulsion fracture of their insertions?? 下胫腓韧带联合撕裂或止点骨折*Short, horizontal, oblique fracture of the fibula above the level of the joint. 高位短斜形或水平腓骨骨折第7页/共15页 Pronation-Eversion (External Rotation) (PER) 旋前-外翻（外旋）??*Transverse fracture of the medial malleolus or disruption of the deltoid ligament?? 内踝横行骨折或三角韧带撕裂*Disruption of the anterior tibiofibular ligament?下胫腓前韧带撕裂?*Short oblique fracture of the fibula above the level of the joint? 高位腓骨短斜形骨折*Rupture of posterior tibiofibular ligament or avulsion fracture of the posterolateral tibia下胫腓后韧带断裂或后外踝骨折第8页/共15页 FIGURE 53-7 Schematic diagram and case examples of Lauge-Hansen supination-external rotation and supination-adduction ankle fractures. A. A supinated foot sustains either an external rotation or adduction force and creates the successive stages of injury shown in the diagram. The supination-external rotation mechanism has four stages of injury, and the supination-adduction mechanism has two stages. Antero